Abstract
Introduction: the Achilles tendon is the most resistant tendon structure in the human body. Although it raises an injury prevalence of 24% within the population of runners, which increases exponentially at the international level. Objectives: We analyze the influence of the running technique on the architecture of the Achilles tendon, and we look for other factors that also influence its morphology. Methods: An observational, cross-sectional and descriptive study was carried out; thirty-three healthy habitual running subjects voluntarily participated. We carried out an orthogonal study of the tendon structure, obtaining values of diameter, perimeter, and microcirculation; the results were related to the runners' technique. Results: no significant differences were found regarding the influence of the running technique on the architecture of the Achilles tendon, observing that it was more significantly influenced by gender, height, and training. Conclusions: Although the running technique does not influence the thickness of the Achilles tendon, the influence of the technique on other characteristics of the tendon should continue to be studied.
References
Vitez L, Zupet P, Zadnik V, Drobnič M. Running injuries in the participants of Ljubljana Marathon. Zdr Varst [Internet]. 2017;56(4):196-202. doi: 10.1515/sjph-2017-0027.
Legerlotz K, Schjerling P, Langberg H, Brüggemann GP, Niehoff A. The effect of running, strength, and vibration strength training on the mechanical, morphological, and biochemical properties of the Achilles tendon in rats. J Appl Physiol (1985) [Internet]. 2007;102(2):564-572. doi: 10.1152/japplphysiol.00767.2006.
del Baño Aledo ME., Martínez Payá JJ, Ríos Díaz J, Palomino Cortés MA. Aplicación en fisioterapia de la valoración cuantitativa de las características morfoecogénicas del tendón de Aquiles. Fisioterapia [Internet]. 2008;30(2):61-8. doi: 10.1016/S0211-5638(08)72959-6.
Huerga CC, González MLV, Martínez GA, Peinador AM. Lesiones del Tendón de Aquiles. Diagnóstico por imagen. Rev Int Cienc Podol. 2011;5(2):35-45.
Fernández Jaén TF, Baró Pazos F, Fernández Jiménez A, Guillén Vicente M, Guillén García P. Conceptos actuales de la fisiopatología de las tendinopatías. Ingeniería tisular. Apunts Med Esport. 1 de octubre de 2010;45(168):259-64.
Khan KM, Cook JL, Bonar F, Harcourt P, Åstrom M. Histopathology of Common Tendinopathies. Update and implications for clinical management.
Sports Med 1999;27(6):393-408. doi: 10.2165/00007256-199927060-00004.
Abate M, Silbernagel KG, Siljeholm C, Di Iorio A, De Amicis D, Salini V, et al. Pathogenesis of tendinopathies: inflammation or degeneration? Arthritis Res Ther [Internet]. 2009;11(3):235. doi: 10.1186/ar2723.
Ferranti-Ramos A, Garza-Garza G, Bátiz-Armenta J, Martínez-Delgado G, De la Garza-Álvarez F, Martínez-Menchaca HR, et al. Metaloproteinasas de la matriz extracelular y su participación en el proceso de cicatrización. Medicas UIS [Internet]. 2017;30(2):55-62. doi: 10.18273/revmed.v30n2-2017006.
Peñin-Franch A, García-Vidal JA, Martínez CM, Escolar-Reina P, Martínez-Ojeda RM, Gómez AI, et al. Galvanic current activates the NLRP3 inflammasome to promote Type I collagen production in tendon. eLife [Internet]. 2022;11:e73675. doi: 10.7554/eLife.73675.
Chisari E, Rehak L, Khan WS, Maffulli N. Tendon healing in presence of chronic low-level inflammation: a systematic review. Br Med Bull [Internet]. 2019;132(1):97-116. doi: 10.1093/bmb/ldz035.
Klatte-Schulz F, Minkwitz S, Schmock A, Bormann N, Kurtoglu A, Tsitsilonis S, et al. Different Achilles Tendon Pathologies Show Distinct Histological and Molecular Characteristics. Int J Mol Sci [Internet]. 2018;19(2):404. doi: 10.3390/ijms19020404.
Ríos-Díaz J, de Groot Ferrando A, Martínez-Payá JJ, del Baño Aledo ME. Fiabilidad y reproducibilidad de un nuevo método de análisis morfotextural de imágenes ecográficas del tendón rotuliano. Reumatol Clín [Internet]. 2010;6(6):278-284. doi:10.1016/j.reuma.2010.01.008.
Díaz JR, Martínez-Payá JJ, del Baño Aledo ME, de Groot-Ferrando A. Fiabilidad y reproducibilidad intra e inter-observador de un método semiautomático de análisis ecográfico del tendón de Aquiles. Cuest Fisioter [Internet]. 2010;39(3):190-198.
Balsalobre-Fernández C, Agopyan H, Morin JB. The Validity and Reliability of an iPhone App for Measuring Running Mechanics. J Appl Biomech [Internet]. 2017;33(3):222-226. doi: 10.1123/jab.2016-0104.
Cassel M, Intziegianni K, Risch L, Müller S, Engel T, Mayer F. Physiological Tendon Thickness Adaptation in Adolescent Elite Athletes: A Longitudinal Study. Front Physiol [Internet]. 2017 [citado el 13 de enero de 2023];8:795. doi: 10.3389/fphys.2017.00795.
Aubry S, Nueffer JP, Tanter M, Becce F, Vidal C, Michel F. Viscoelasticity in Achilles tendinopathy: quantitative assessment by using real-time shear-wave elastography. Radiology [Internet]. 2015;274(3):821-829. doi: 10.1148/radiol.14140434.
Zappia M, Cuomo G, Martino MT, Reginelli A, Brunese L. The effect of foot position on Power Doppler Ultrasound grading of Achilles enthesitis. Rheumatol Int [Internet]. 2016;36(6):871-874. doi: 10.1007/s00296-016-3461-z.
Eliasson P, Fahlgren A, Pasternak B, Aspenberg P. Unloaded rat Achilles tendons continue to grow, but lose viscoelasticity. J Appl Physiol (1985) [Internet]. 2007;103(2):459-463. doi: 10.1152/japplphysiol.01333.2006.
Magnusson SP, Kjaer M. Region-specific differences in Achilles tendon cross-sectional area in runners and non-runners. Eur J Appl Physiol [Internet]. 2003;90(5-6):549-553. doi: 10.1007/s00421-003-0865-8.
Ríos-Díaz J, Martínez-Payá JJ, del-Baño-Aledo ME, de-Groot-Ferrando A, Pérez-Llanes R. Análisis discriminante del patrón textural ecográfico con matrices de concurrencia como nueva herramienta para el estudio del tendón. Fisioterapia [Internet]. 2011;33(4):157-65. doi: 10.1016/j.ft.2011.06.002.
Haralick RM, Shanmugam K, Dinstein I. Textural Features for Image Classification. IEEE Trans Cybern [Internet]. 1973;3(6):610-621. doi: 10.1109/TSMC.1973.4309314.
Aparecida de Aro A, Vidal B, Pimentel ER. Biochemical and anisotropical properties of tendons. Micron [Internet]. 2012;43(2-3):205-214. doi: 10.1016/j.micron.2011.07.015.
Buchanan CI, Marsh RL. Effects of exercise on the biomechanical, biochemical, and structural properties of tendons. Comp Biochem Physiol A Mol Integr Physiol [Internet 2002;133(4):1101-1107. doi: 10.1016/s1095-6433(02)00139-3.
Koivunen-Niemelä T, Parkkola K. Anatomy of the Achilles tendon (tendon calcaneus) with respect to tendon thickness measurements. Surg Radiol Anat [Internet]. 1995;17(3):263-268. doi: 10.1007/BF01795061.
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